FDA Adverse Event Malfunction Summary report: N

CLINIMACS CD34 REAGENT

MDR report key: 10245050 · Received July 8, 2020

Report

Report Number
3005290010-2020-00014
Event Type
Malfunction
Date Received
July 8, 2020
Date of Event
June 12, 2020
Report Date
July 8, 2020
Manufacturer
MILTENYI BIOTEC B.V. & CO. KG
Product Code
OVG
UDI-DI
04049934004827
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE CUSTOMER COMPLAINED A LOW ELUTION VOLUME AND LOW RECOVERY OF A CD34 SEPARATION. THE PATIENT COULD NOT BE TREATED. TO OUR INFORMATION IT WAS CONSIDERED TO RE-COLLECT THE DONOR TO REPEAT THE CD34 SEPARATION. AS THE CUSTOMER DID NOT PROVIDE THE LOT NUMBER OF THE REAGENT, A COMPLAINT RATE COULD NOT BE CALCULATED. HOWEVER, SUCH INCIDENTS ARE VERY RARE. AN ANALYSIS OF THE PROCESS CODE SHOWED THAT THE PROCESS WAS FINISHED WITHOUT ERROR CODES. HOWEVER, THE SAMPLE LOADING TIME WAS UNUSUALLY HIGH AND THE VOLUMES AFTER SEPARATION DID NOT FIT THE EXPECTED RANGE. THE CUSTOMER INDICATED THAT THE FLUID PATHWAY MIGHT HAVE BEEN PARTIALLY BLOCKED. THIS EXPLAINS OR AT LEAST CONTRIBUTED TO THE LOW VOLUME AND LOW RECOVERY. THE HIGH LOADING TIME IS PROBABLY DUE TO SAMPLE MATERIAL OLDER THAN RECOMMENDED AND VALIDATED (41H VS. 24H). THIS INCREASES THE RISK FOR AGGREGATES WHAT AGAIN HAS INFLUENCE ON THE ELUTION VOLUME AND RECOVERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
709142 CLINIMACS CD34 REAGENT CLINIMACS CD34 REAGENT OVG MILTENYI BIOTEC B.V. & CO. KG 70103 UNKNOWN 04049934004827

Patients

Seq Age Sex Outcome Treatment
1